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Laparoscopic liver biopsy - Anyone have any idea

  1. #11
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    I prefer to go by AMA guidelines and documentation so I will stand by my previous post with the documentation that supports that the add on code 47001 can be used with the laproscopic CPT that was in the original post


    Primary Px - 47001
    This list shows the primary procedure codes(s) appropriate for use with this add-on code.
    44146 Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy
    44147 Colectomy, partial; abdominal and transanal approach
    44150 Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy
    44151 Colectomy, total, abdominal, without proctectomy; with continent ileostomy
    44155 Colectomy, total, abdominal, with proctectomy; with ileostomy
    44156 Colectomy, total, abdominal, with proctectomy; with continent ileostomy
    44160 Colectomy, partial, with removal of terminal ileum with ileocolostomy
    44204 Laparoscopy, surgical; colectomy, partial, with anastomosis
    44205 Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy
    44206 Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)
    44207 Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)
    44208 Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy
    44210 Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy
    44211 Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed
    44212 Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy
    44300 Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)
    44310 Ileostomy or jejunostomy, non-tube
    (That is only a partial list as its way too long to put here)

  2. #12
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    As an add-on, I agree with Cpt 47001. I was just providing a response to Robin's 7-11-08 post, and a more recent update found on coding of separate lap liver biopsies.

    Apologize for any confusion.
    Barbara McDougal, CPC
    FHMS HealthCare Partners, Ormond Beach, FL

  3. #13
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    I agree, 47379 is used according to General Surgery

  4. Smile
    the 47001 is correct as it is being done at the time of a major procedure. Don't confuse open to mean which way the major procedure is being done ie. open vs Lap. Open in this case means how the needle biopsy was done percutaneous (closed) or open in which an incision would have been used any
    major procedure requires a incision where laproscopic or open belly. But open for the liver bx is strickly how it was done open or closed has nothing to do with the way the major procedure was done.

  5. #15
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    Thanks for all of the responses! Just noticed this thread has had over 11,000 views!!! I guess I wasn't the only confused by this. But the most recent response explains it perfectly, I hadn't thought of the liver biopsy itself being an open procedure. That makes sense! Thanks again for everyone's input!
    Leanne, CPC
    General/Vascular Surgery

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